Pharmacology

Question 0

what is the maximum fluid bolus for pediatrics in trauma?

Answer 0

60mg/kg - initial 20mg/kg x 2 prn.

Question 1

What constitutes a true medication allergy?

Answer 1

rash
SOB
swelling of the tounge, face or throat.

Question 2

All pts with a pulse should be given medications IV over what time frame?

Answer 2

2 min

Question 3

What are the parameters for an IM injection?

Answer 3

infants < 1: 23g 1” needle. Lateral thigh max vol is 0.5ml-1.0ml
infants >1 and children: 23g 1” Lateral thigh max vol is 1.0ml
adults and large children 21g 1.5” needle. Lateral thigh 4ml Max

Question 4

What can be delivered through the MAD device?

Answer 4

versed, glucagon, fentanyl, narcan.

Question 5

What is the ideal volume for the MAD device?

Answer 5

0.3-0.5ml / nostril. Max 1ml/ nostril

Question 6

What are the contraindications of adenosine?

Answer 6

Hx of 2nd/ 3rd degree HB
sick sinus syndrome w/o pacemaker
Carbamazepine (tegretol)
active bronchospasm
heart transplant

Question 7

What are the contraindications of amioderone?

Answer 7

cardiogenic shock

marked sinus brady w/ 2nd or 3rd degree blocks

Question 8

Atropine in RSI for children under 2 is?

Answer 8

0.02mg/kg IV IO minimum dose 0.1mg Max dose 0.5mg

Question 9

What are the doses of Cacl2?

Answer 9

Adult: Ca channel blocker: 1g Slow IV/ IO
hyperkalemia: 1g Slow IV/ IO
Cardizem induced: 500mg Slow IV/ IO

Pedi: Ca channel blocker: 20mg/kg Slow Iv/IO max dose 1g.

Question 10

What are the contraindications for Cardizem?

Answer 10

WPW
heart blocks
hypotension
sick sinus syndrome
Wide complex QRS

Question 11

What is the pedi dose for the cyanokit?

Answer 11

70mg/kg IV/IO over 15min. Max single dose 2.5g over 7.5 min.
Max dose 5g.

Question 12

What is the dose of dextrose in pedi and neonates?

Answer 12

Pedi: 5ml/kg IV/ IO may repeat 1x. Max single dose 100ml

Neonate< 30 days: 5ml/kg IV IO

Question 13

What are the contraindications for dopamine?

Answer 13

Hypotension due to blood loss

pheochromocytoma

Question 14

what precautions should be taken with dopamine?

Answer 14

do not administer in same line as NaHco3

decrease dose by 1/10th for persons on MAOI’s

Question 15

What is the pedi dose of Epinephrine 1:1000 in anaphylaxis?

Answer 15

0.01mg/kg (0.1ml/kg) may repeat 1x in 15 min.

Croup/ epiglotitis: 3ml (3mg) via nebulizer.

Question 16

What should epinephrine never be mixed with?

Answer 16

alkaline solutions or Nahco3

Question 17

What is the dose for etomidate for cardioversion adult and pedi?

Answer 17

6mg IV IO over 15-30sec repeat 1x

0.1mg/kg IV IO over 15-30sec repeat 1x

Question 18

What is the dose of Glucagon?

Answer 18

Adult Hypoglycemia - 1mg IN/IM
Beta Blocker- 1mg/min slow Max dose 5mg
Pedi Hypoglycemia- < 20kg 0.5mg IN/ IM
>20kg 1.0mg IN/ IM
Beta Blocker- 1mg/min IV/ IO until resolves or max dose
<20kg 4mg
>20kg 5mg

Question 19

What is the dose for Ketamine?

Answer 19

Adult ED: 4mg/kg IV IM max 400mg
Advanced airway 2mg/kg IV, IO, IM
Pedi: Advanced airway 1mg/kg IV, IO, IM

Question 20

What is the dose for Lidocaine?

Answer 20

Adult IO 40mg

pedi IO 0.5mg/kg

Question 21

What is the dose for MGSO4?

Answer 21

Adult: Torsades stable 2g/50ml open
Severe Eclampsia 2g/50ml x2 over 10min
Eclampsia 2g/50ml
Asthma 2g/50ml over 10min
Pedi: Torsades stable 40mg/kg 50ml open
Asthma 40mg/kg 50 ml over 25min

Question 22

What is the dose of Narcan?

Answer 22

Adult w/ RR less than 12: 0.5mg IV, IO, IM
2.0mg IN
Pedi w/ RR less than 20: 0.5mg IV, IO, IM
1.0mg IN

Question 23

What are the contraindications for oral glucose?

Answer 23

Pedi less than 2yr

not conscious to swallow

Question 24

What is the dose of oral glucose?

Answer 24

15g PO.

Question 25

What are the doses of versed?

Answer 25

adult” 2.5mg IV/ IO max 5.0mg
5.0mg IN/ IM max 10.0mg
Pedi: 0.1mg/kg IV/IO max 5.0mg
0.2mg/kg IN/ IM max 10.0mg